Is it possible for Botox to wear off earlier than 2 months ?

It is very common to have a sensation of heaviness similar to a plate resting on your forehead initially once your Botox treatment begins to work. However, once this wears off, and you still have no movement in your forehead, rest assured that your treatment is still effective.However, the amount and placement of the Botox injected, as well as the strength of your muscles and how frequently you still attempt to use them, especially while exercising, will determine how long the Botox effect will last. It is a good idea to keep track of the length of time that your Botox effect lasts, so that you can discuss this with your physician at your next appointment, and this way, your physician can put together a Botox treatment plan for you that will last for 3-4 months. At Edelstein Cosmetic, we follow the Optimized Beauty System, which ensures that your Botox lasts for 3-4 months. We schedule your appointments in this time frame so that your facial muscles do not have a chance to relearn the wrinkle-forming movements again, all while using the optimal Botox dosing for you!

That’s a really great question. I am sure many people experience this
and do not discuss it. In patients who have their first treatment involving the
11’s and the forehead, the change in muscle activity of the frontalis muscle
(forehead) is often felt as a heaviness of the brows. Experienced injectors of Botox know
that too much in the frontalis will cause the eyebrows to droop and ruin
the lift that people expect from a Botox treatment. On the other hand, not treating
the forehead with enough Botox often leads to bizarre wrinkling in the mid and
upper forehead which does not blend well with the smooth area between the
eyebrows. The compromise is to use less Botox in the forehead which gives a
more natural appearance but also tends to ware off sooner then the fully
treatment muscles between the eyebrows.

Hi Nick.  The key factor in determining whether the product has worn off is muscle movement.  As soon as you can frown completely the effects are gone and this typically happens after 3-4 months.  So, even though it feels a little different now, as long as you can't frown, the product is still working. To see examples of other Long Beach, CA Botox before and after pictures for the forehead, click the link below.

Actually, the heavy
forehead feeling is not ideal…and what you have now IS IDEAL! Having said that
I do have patients that work out a lot - like you (and me) - and do need to do
their botox at 3 month intervals. For most of the population, if you keep your
botox up so that you don’t let it fully wear out and let your muscles get
stronger again, you will go longer and longer each time… I have patients that
routinely go 6 months between treatments with minimal movement. So return for
treatment right when you are just getting half of your movement back and you
will lengthen the treatment interval as time goes on.

The duration of the result with Botox treatment is directly related to the dose injected. If a lesser dose was used, your duration may be less then previous treatments. The heaviness and plate sensation is common after treatment of the glabella and forehead. Even though this sensation is gone, your result may persist for another 60 days.Exercise should not change duration, although I think there are certain patients that never get a full 3 months with their treatment.

Yes, but there are some qualifications.In general, you need to know how many units you received and how fresh it was.  Neurotoxin that has been sitting around too long can be less effective than fresher product (there is some debate as to exactly how long is okay) and, even more importantly, you have to know how many units you received.  Not how many cc's, syringes or areas.And you're entitled to know because treating "areas" is not a reasonable basis for comparison.  What did you get for what you paid?Beyond that is the distribution of the injections.  I increasingly favor limiting the use across the forehead because I'm concerned that it will drop the eyebrows and produce a "heavy" feeling and look - which it does because the muscles of the forehead elevate the eyebrows.  Weakening those muscles would obviously lower the brows.This is part of what needs to be discussed with you by your PS, and it's reasonable to continue the discussion by finding out exactly how many units you had injected in each region, and why.I hope that this helps and good luck,Dr. Alan EnglerMember of RealSelf100

Botox results are related to the number of units used and the placement of the product. Many people say they can feel a tightness when first getting Botox and the feel of this wanes over a bit of time. However, the actual results can still continue for several more months. "This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."